Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
Spring River runs on 2.95 nursing hours per resident per day, roughly a quarter below the national average, and weekends drop another 13 percent below its own weekday levels. That thin coverage shows up in the inspection record: 67 deficiencies, three tied to abuse and two serious enough to put residents in harm's way, plus $111,643 in federal fines. Staff turnover sits at 60.5 percent against a national 45.8 percent, so the people providing care keep changing. CMS has placed the home in its Special Focus Facility program, reserved for the country's most persistently troubled nursing homes. The most recent inspection was December 12, 2024.
Las Palomas Center carries 91 deficiencies on its current record, including seven that put residents in immediate harm or jeopardy and eight tied to abuse. That's why CMS placed it in the Special Focus Facility program, a designation reserved for the homes with the worst inspection histories. The health inspection rating sits at 1 out of 5, and the last full inspection was July 19, 2024. Staffing runs about 9% below the national average at 3.51 nurse hours per resident day, weekends drop roughly 14% below the home's own weekday levels, and annual turnover hits 67.9% against a national 45.8%. Three fines total $374,766. The quality measure score of 4 out of 5 stands out against everything else, but self-reported clinical data can look better than the day-to-day reality a low inspection rating reflects.
Las Cruces Village runs 3.67 nurse hours per resident day, roughly 5% under the national average, and weekend coverage drops about 10% below what it manages on weekdays. That thin margin matters because staff turnover is 64.6% a year, well above the 45.8% national figure, so the people providing most of the care are still relatively new. The inspection record shows 83 deficiencies, seven of them abuse-related, and CMS gave the health inspection domain its lowest rating; quality measures scored well, but that's largely a charting exercise. A recent June 2025 inspection means the findings are current, not stale. As a for-profit LLC with 94 beds, the numbers point to a building where care quality depends heavily on who happens to be on shift.
Sandia Ridge Center is a for-profit home in Albuquerque with 140 certified beds and a staffing picture that runs thinner than average, about 3.33 nurse hours per resident day against a national 3.86, with weekends roughly 12% below its own weekday levels. Annual turnover sits at 51%, above the national 45.8%, so the aides and nurses your relative sees may not be the same ones a year from now.
What stands out more is the record: 57 deficiencies, six at harm or jeopardy level, six abuse-related, and a $114,001 fine. CMS has placed it in the Special Focus Facility program. The last inspection was January 2023, which means the public picture may be well behind whatever is actually happening on the floor today.
Casa Real runs 118 certified beds in Santa Fe under for-profit LLC ownership, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.63 hours per resident day against a 3.86 national average, and weekends drop roughly 12% below its own weekday coverage, so the thinnest shifts land when families often can't be there. Staff turnover is 61.9% against a 45.8% national average, meaning most of the people caring for residents this year likely won't be there next year. Its current record carries 93 deficiencies, 7 at harm or jeopardy level, with 2 tied to abuse, and CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. Three fines totaling $153,051 round out the picture.
Skies Healthcare & Rehabilitation Center runs 120 certified beds in Albuquerque under for-profit LLC ownership, and the numbers split in a way families should look at closely. The quality measure star sits at 4 out of 5, meaning the home's own reported data on things like pain and mobility looks good. But staffing is 1 out of 5, well below what CMS expects, and health inspections also come in at 1 out of 5, with 81 deficiencies on the current record, including one at the harm or jeopardy level and two tied to abuse. A single fine of $30,409 is on file, and the last inspection was January 8, 2026. Good self-reported outcomes mean little if there aren't enough hands on deck.
Aztec Healthcare runs on 2.75 nurse staffing hours per resident day, roughly 29% under the national average of 3.86, and weekends dip about 5% below its own weekday level. That thin coverage shows in the numbers: 72.1% annual turnover against a national 45.8%, 37 deficiencies on the current record including six at the harm level and two abuse-related, and four fines totaling $105,228, with the last inspection on June 7, 2024. The corporation that owns it is for-profit. The five-star quality measure rating stands out against a one-star staffing rating and a two-star inspection rating, but quality measures alone don't cover gaps in daily care.
Nurse staffing at White Sands runs about 3.16 hours per resident day, roughly 18% under the national average, and weekends drop another 12% below its own weekday levels, so the thinnest coverage lands when families tend to visit. On inspections, the record shows 35 deficiencies, including three at the harm or jeopardy level and three tied to abuse, with two fines totaling $21,528; the most recent inspection was March 2026. Staff turnover sits at 46.6%, essentially in line with the national average rather than worse, so the problems here look more like persistent short staffing and a serious inspection history at this corporate-owned, 118-bed building than a retention crisis.
Los Alamos Wellness & Rehabilitation runs on 3.09 nurse staffing hours per resident day, roughly a fifth below the national average, and weekend coverage dips about 6% under its own weekday numbers. That thin margin shows up in the workforce itself: 54.2% annual turnover against a 45.8% national rate. The inspection record is the harder read, 75 deficiencies, one at harm or jeopardy level, seven tied to abuse, and six fines totaling $130,691, with the most recent survey in December 2024. Quality measures score well, but that rating sits on top of staffing and inspection results that tell a different story. For-profit corporate ownership, 66 beds.
Sunset Villa runs 3.43 nurse hours per resident per day, roughly 11% under the national average, and weekends dip about 5% below its own weekday level. That thin margin matters more when turnover sits at 53.4% against a national 45.8%, more than half the nursing staff leaving in a year makes consistent care hard to hold onto. On the record are 55 deficiencies, including 5 at the harm or jeopardy level and 6 tied to abuse, plus two fines totaling $80,968. Its last inspection was April 23, 2026, and the health inspection rating of 2 out of 5 reflects what surveyors found. Strong quality measure scores don't offset staffing and inspection problems.
Fiesta Park runs 3.64 nurse hours per resident day, about 6% under the national figure of 3.86, and weekends drop roughly 13% below what the home staffs on weekdays. Turnover sits at 30.7%, which is actually well under the 45.8% national average, staff tend to stay. What stands out more is the inspection record: 44 deficiencies, three serious enough to put residents in harm's way and two tied to abuse, plus two fines totaling $35,534. The most recent inspection was January 2025, so the picture is current. Quality measures score well; the health inspection side is where the problems concentrate.
The Suites Rio Vista runs 3.50 nurse hours per resident day, about 9% under the national average, and weekend coverage drops roughly another 9% below its own weekday level, so the thinnest shifts land when families tend to visit. Annual turnover sits at 68.3% against a national 45.8%, which means close to seven in ten caregivers were replaced over the year. Its current record carries 63 deficiencies, including one at the harm or jeopardy level and eight tied to abuse, plus a $17,215 fine. A 4/5 quality measure score can't offset that inspection history or the staffing math behind it.
Artesia Healthcare & Rehabilitation Center runs 65 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.24 hours per resident day, roughly 16 percent under the national average of 3.86. Weekends get thinner still, about 22 percent below the home's own weekday coverage, which matters most when families visit and when residents need hands-on help. Turnover is 34 percent, better than the 45.8 percent national figure, so the crew that is there tends to stay. Against that, the record shows 50 deficiencies, four tied to abuse, none flagged at harm or jeopardy level, with the most recent inspection dated February 26, 2026. Quality measures score low; staffing and inspections sit mid-range.
The Neighborhood In Rio Rancho runs a nonprofit shop with 72 beds, and the raw nursing hours look generous, 4.83 per resident day against a national average of 3.86, roughly a quarter more hands-on time than most homes. But look at who's providing it: annual turnover sits at 82.3%, nearly double the national figure, and weekend coverage drops about 9% below weekday levels, so that staffing edge is fragile in practice.
The inspection record is where things get concerning. Thirty-eight deficiencies on the current record, including one at the harm or jeopardy level and four tied to abuse. A 2-out-of-5 inspection rating and a November 2025 survey date back that up.
Spanish Trails runs a for-profit limited liability operation with 134 certified beds, and its nurse staffing sits at 3.38 hours per resident day, roughly 12% under the national average of 3.86. Weekend coverage drops about 11% below its own weekday level, and annual turnover hits 64.4% against a national 45.8%, so the people around your relative may change often. The current inspection record shows 45 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with two fines totaling $57,519. The most recent inspection was April 25, 2025. Quality measures score well, but staffing and inspection history are where the concerns live.
Laguna Rainbow runs on a nonprofit model in Casa Blanca, and its nurse staffing sits about 19% above the national average, a real edge, with 4.61 hours per resident day. But look closer and the picture splits: weekends run roughly a fifth thinner than weekdays, and turnover hits 70.2%, well past the 45.8% national mark. That churn matters more than the headcount suggests. The inspection record is the heavier concern, 38 deficiencies, six tied to abuse and one serious enough to reach harm or jeopardy, plus a $24,570 fine. The last survey was March 2026. Strong quality scores and steady weekday coverage sit alongside a staffing pattern that thins on weekends and a workforce that keeps turning over.